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Search › South Carolina › 101YM0800X

Jermaine Wallace

NPI 1003124025 · on the registry since 2010

Practice

Address
223 E Main St
Suite 300
Rock Hill, SC 29730
Phone
(803) 328-9600
Fax
(803) 328-7141
Organisation at this address
Raising Hope Inc
Blue Lotus Counseling , Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
113

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2010-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina